Provider Demographics
NPI:1972796316
Name:HOUTZ, CHRISTI JEAN (DC)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:JEAN
Last Name:HOUTZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47807-3510
Mailing Address - Country:US
Mailing Address - Phone:812-230-4070
Mailing Address - Fax:
Practice Address - Street 1:17 S 6TH ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47807-3510
Practice Address - Country:US
Practice Address - Phone:812-230-4070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002314A111N00000X
TX10447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200938100Medicaid